Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.33 / $4,723.00 / $11,627.00	Facility		$1,044.33	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.33 / $1,044.33 / $2,094.75	Professional		$1,044.33	$1,044.33	$2,094.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.68 / $1,077.33 / $1,859.01	Professional		$782.68	$1,077.33	$1,859.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,015.07 / $1,218.08 / $1,507.64	Facility		$1,015.07	$1,218.08	$1,507.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $909.37 / $1,116.58 / $1,116.58	Professional		$909.37	$1,116.58	$1,116.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.66 / $1,409.85 / $2,131.64	Professional		$861.66	$1,409.85	$2,131.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,015.07 / $1,436.25 / $2,127.19	Professional		$1,015.07	$1,436.25	$2,127.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $1,000.02 / $1,458.36	Professional		$151.78	$1,000.02	$1,458.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.66 / $1,356.46 / $2,219.80	Professional		$943.66	$1,356.46	$2,219.80